Charlotte Z Woods-Hill, Elizabeth A Colantuoni, Danielle W Koontz, Annie Voskertchian, Anping Xie, Cary Thurm, Marlene R Miller, James C Fackler, Aaron M Milstone, Asya Agulnik, J Elaine-Marie Albert, Michael J Auth, Erin Bradley, Jason A Clayton, Susan E Coffin, Samantha Dallefeld, Chidiebere P Ezetendu, Nina A Fainberg, Brian F Flaherty, Charles B Foster, Sarmistha B Hauger, Sue J Hong, Nicholas D Hysmith, Aileen L Kirby, Larry K Kociolek, Gitte Y Larsen, John C Lin, William M Linam, Jason G Newland, Dawn Nolt, Gregory P Priebe, Thomas J Sandora, Hayden T Schwenk, Craig M Smith, Katherine M Steffen, Sachin D Tadphale, Philip Toltzis, Joshua Wolf, Danielle M Zerr
IMPORTANCE: Blood culture overuse in the pediatric intensive care unit (PICU) can lead to unnecessary antibiotic use and contribute to antibiotic resistance. Optimizing blood culture practices through diagnostic stewardship may reduce unnecessary blood cultures and antibiotics. OBJECTIVE: To evaluate the association of a 14-site multidisciplinary PICU blood culture collaborative with culture rates, antibiotic use, and patient outcomes. DESIGN, SETTING, AND PARTICIPANTS: This prospective quality improvement (QI) collaborative involved 14 PICUs across the United States from 2017 to 2020 for the Bright STAR (Testing Stewardship for Antibiotic Reduction) collaborative...
July 1, 2022: JAMA Pediatrics